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Evaluation of National Health Insurance Program Implementation in Jakarta Province, Indonesia Evi Susanti Sinaga; Ika Rahma Ginting; Rina K Kusumaratna; Tiara Marthias
Jurnal Kebijakan Kesehatan Indonesia Vol 10, No 3 (2021): Special Issues
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.66063

Abstract

The implementation of National Health Insurance in several regions in Indonesia faces challenges, such as health service providers, health insurance management , and the community. The outcome that occurs may vary depending on the implementation of different aspects of governance, equity or social justice, and aspects of service quality. Therefore, research was conducted by evaluating the implementation of the national health insurance in DKI Jakarta Province. The evaluation is carried out based on the 2019 JKN road map target indicators, grouped into three aspects: including governance, achievement of equal distribution of health services (equity), and quality of service. This research used a mixed-methods design that combined the approach of quantitative and qualitative elements. Quantitative data were collected from secondary data from Health Social Security Agency (BPJS Kesehatan), the National Social Security Council Monitoring and Evaluation System (Sismonev DJSN). The qualitative data comes from in-depth interviews with selected informants using the purposive sampling technique. The result was that DKI Province had achieved the JKN membership target. There are still JKN participants who are inactive / in arrears from participants in the government and private wage-earning segments. Health facilities and human health resources have met the standards, but related to the package of benefits for heart diseases services, the availability of cardiac specialists and cath lab facilities has not been evenly distributed, especially in the Seribu Islands. Patient preferences in choosing the desired health service resulted in implementing a tiered referral system and back-referral still having problems in health facilities. 
KARAKTERISTIK PENDERITA HIPERTENSI YANG DIRAWAT INAP DI RUMAH SAKIT VITA INSANI PEMATANGSIANTAR TAHUN 2010-2011 Evi Susanti Sinaga; hiswani .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2012): JURNAL GIZI, KESEHATAN REPRODUKSI DAN EPIDEMIOLOGI
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (158.394 KB)

Abstract

Hypertension is one of the degenerative disease a public health problem in the world because hypertension often appears without symptoms. In Indonesia, people with hypertension are estimated at 15 million but only 4% controlled hypertension. According to the Ministry of Health of the Republic of Indonesia (2010) suggested that hypertension is the third cause of death is by PMR 6,7% of the population deaths in all age groups in Indonesia. To know the characteristics of patients who are hospitalized at Vita Insani Hospital Pematangsiantar, descriptive study has been done by using case series design and continued with the statistical analysis. The population and sample were 130 data patients (total sampling). From the recorded data, the results obtained by the highest proportion of female patients in the age group >60 years (30,8%), Batak (77,7%), Protestant (64,6%), house wives (24,6%), married (66,9%), out of Pematangsiantar (59,2%), headache (71,5%), third degree of hypertension (66,2%) without comorbidity (76,9%), stroke, and diabetes mellitus (33,3%), average length of stay 3,75 days, medically discharged and becoming out patient (83,1%). There is no significant difference between the sexes with the degree of hypertension (p= 0,252). There is no significant difference in the average length of stay patients with a degree of hypertension (p = 0,922). To hypertensive patients aged> 60 years for his blood pressure checked regularly and maintain a diet and a healthy life. Communities should be empowered, through education in order to contribute effectively to the prevention and control of hypertension. Keywords: hypertension, patient characteristics, Vita Insani hospital Pematangsiantar
PEMBERIAN EDUKASI DAN SKRINING FAKTOR RISIKO HIPERTENSI SEBAGAI UPAYA PENINGKATAN SURVEILANS PENYAKIT TIDAK MENULAR DI ERA PANDEMI COVID-19 Evi Susanti Sinaga; Anika Dwi Apriyani; Anindya Rezquyta Amelia; Witriastika Suci; Ali Vikri Anastasia
LOGISTA - Jurnal Ilmiah Pengabdian kepada Masyarakat Vol 5 No 2 (2021)
Publisher : Department of Agricultural Product Technology, Faculty of Agricultural Technology, Universitas Andalas Kampus Limau Manis - Padang, Sumatera Barat Indonesia-25163

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/logista.5.2.181-188.2021

Abstract

Pandemi Covid-19 memberikan dampak pada sektor kesehatan, ekonomi maupun sosial. Pada sektor kesehatan, bertambahnya jumlah kasus Covid-19 mengakibatkan upaya kesehatan bersumber daya masyarakat (UKBM) seperti pos pelayanan terpadu (Posbindu) tidak bisa berjalan. Salah satu kegiatan yang berhenti adalah edukasi dan skrining faktor risiko hipertensi di masyarakat. Kondisi ini akhirnya berdampak pada surveilans faktor risiko hipertensi yang terganggu di puskesmas. Oleh karena itu, dilakukan pengabdian masyarakat melalui skrining faktor risiko hipertensi dan pemberian penyuluhan mengenai hipertensi. Sasaran kegiatan skrining adalah masyarakat usia produktif 15-59 tahun di Kecamatan Mampang Prapatan dan dilakukan dengan desain studi potong lintang. Sedangkan sasaran penyuluhan adalah kader yang bertanggung jawab sebagai pelaksana Posbindu. Pre test dan post test diberikan untuk mengukur tingkat pengetahuan setelah diberikan penyuluhan melalui zoom meeting. Hasilnya adalah 26,9% masyarakat mengalami hipertensi. Faktor –faktor risiko yang berhubungan dengan kejadian hipertensi adalah usia di atas 50 tahun, memiliki IMT kategori gemuk, memiliki riwayat orang tua terkena hipertensi, perilaku konsumsi makanan bersantan, perilaku konsumsi makanan berlemak, tidak olahraga, mengalami stres, sulit tidur, keluhan sakit kepala, dan keluhan sakit tengkuk (dengan nilai p-value <0,05). Pemberian penyuluhan kepada kader mampu meningkatkan pengetahuan mengenai hipertensi dengan nilai hasil pre test dan post test mengalami peningkatan yang bermakna (dengan nilai p-value<0,05). Kata kunci: Edukasi, Hipertensi, Potong lintang, Skrining, Surveilans ABSTRACT The Covid-19 pandemic has had an impact on the health, economic and social sectors. The increasing number of Covid-19 cases has resulted in the inability of community-based health services such as integrated health posts. The activities that stop are health promotion and hypertension risk factors screening in the community. This condition ultimately has an impact on impaired surveillance of hypertension risk factors at the public health center. Therefore, community service through hypertension risk factors screening and providing counseling about hypertension. The target of the screening activity is people of productive age 15-59 years in Mampang Prapatan District and carried out with a cross-sectional study design. The target of counseling is cadres who are responsible for implementing Posbindu. Pre-test and post-test are gived to measure the knowledge after counseling offered through zoom meetings. The result is 26.9% of people has hypertension. Risk factors related to hypertension include age over 50 years, BMI, fat category, parental history of hypertension, coconut milk consumption behavior, fatty food consumption behavior, not exercise, stress, difficulty sleeping, headache, and neck pain (with p-value <0.05). Providing counseling to cadres can increase knowledge about hypertension with pre-test and post-test scores improved significantly (with p-value <0.05). Keywords: Education, Hypertension, Cross-sectional, Screening, Surveillance
Ketahanan hidup 5 tahun pada pasien kanker payudara Evi Susanti Sinaga; Riris Andono Ahmad; Susanna Hilda Hutajulu
Berita Kedokteran Masyarakat (BKM) Vol 33, No 2 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2142.704 KB) | DOI: 10.22146/bkm.10543

Abstract

Analysis of 5-year survival of patients treated for breast cancer at Sardjito Hospital in Yogyakarta province, IndonesiaPurposeThis study aimed to assess the length of life of breast cancer patients as well as factors related to the prognosis of survival of patients.MethodsThis research was a retrospective study. Samples in this study were patients with breast cancer who were first diagnosed with breast cancer from January 1, 2009 until December 31, 2009 at the Dr. Sardjito Hospital, Yogyakarta. The Kaplan Meier method was used for the data analysis, and final factors were reviewed and those that showed significant association were entered in a Cox regression model. Calculations were performed in Stata 12.0.ResultsResults showed the 5 year survival rate was 51.07%. In bivariate analysis, there was a correlation between the age of diagnosis, education, clinical stage, tumor size and tumor location on 5-year survival in patients with breast cancer. For multivariate analysis, age of diagnosis had the most powerful correlation (HR = 3.73; 95% CI = 1.0 to 13.6) on survival (p = 0.046).ConclusionSurvival rates of women with breast cancer aged less than 50 years were lower. Young women with breast cancer tended to have more aggressive breast cancer growth and recurrence risks were greater. Efforts are needed for early detection of breast cancer to improve survival in breast cancer patients.
PEMBERIAN VAKSINASI BOOSTER COVID-19 SEBAGAI UPAYA PERCEPATAN TERBENTUKNYA KEKEBALAN KELOMPOK PADA MASYARAKAT DI WILAYAH DKI JAKARTA Evi Susanti Sinaga; Rudy Pou; Gita Handayani Tarigan; Bambang Endro Yuwono; Hartini Hartini
JUARA: Jurnal Wahana Abdimas Sejahtera Volume 3, Nomor 2, Juli 2022
Publisher : Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (665.009 KB) | DOI: 10.25105/juara.v3i2.13677

Abstract

Currently, the entire population of the world is facing the Covid-19 pandemic. The beginning of this pandemic was known from the first report, an outbreak in the city of Wuhan, China, at the end of December 2019. Data in April 2022, Covid-19 has spread to 230 countries with the number of confirmed cases globally as many as 505,035,185 and 6,210,719 cases died. In Indonesia, confirmed cases of Covid-19 reached 6,042,595 cases, 5,855,361 cases recovered and 156,015 cases died. The three provinces with the highest number of confirmed Covid-19 cases and those who died from Covid-19 were DKI Jakarta, West Java, and Central Java. Vaccination is one of the efforts to overcome the Covid-19 pandemic, where the government is currently very serious about creating herd immunity. This community service provided free booster vaccinations to reduce the spread of Covid-19. The Covid-19 booster vaccination was carried out according to the five-day planned schedule. The community served 1314 (87%) from 1511 registrants, and as many as 20 people (1%) had their vaccine delayed due to health reasons. There was no adverse event following immunisation (AEFI) during the vaccination activities.
Pemantauan Konsumsi Pemberian Makanan Tambahan (PMT) Dalam Meningkatkan Berat Badan Balita Dengan Masalah Gizi Evi Susanti Sinaga; Indra Azis Rasyid; Muhammad Rizky Mubarok; Novia Indriani Sudharma; Helfi Nolia
ABDI MOESTOPO: Jurnal Pengabdian Pada Masyarakat Vol 6, No 1 (2023): Januari 2023
Publisher : Universitas Prof. Dr. Moestopo (Beragama)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32509/abdimoestopo.v5i2.2236

Abstract

Salah satu indikator kesehatan yang dinilai pada Sustainable Development Goals (SDGs) di Indonesia adalah mengenai status gizi balita. Berdasarkan hasil Studi Status Gizi Indonesia (SSGI) 2021, diketahui prevalensi stunting menurun dari 27,7% pada tahun 2019 kemudian pada tahun 2021 menjadi 24,4%. Sedangkan prevalensi underweight meningkat pada tahun 2021 menjadi 17% yang sebelumnya pada tahun 2019 adalah 16,3%. Salah satu upaya pemerintah dalam mengatasi masalah kekurangan gizi adalah melalui program Pemberian Makanan Tambahan (PMT). Sasaran dalam pemberian makanan tambahan adalah balita kelompok usia 6-59 bulan. Pengabdian masyarakat ini ingin memantau konsumsi pemberian makanan tambahan pada balita dengan masalah gizi di Kelurahan Kebon Baru, melakukan penyuluhan pada orang tua balita dan melakukan penilaian status gizi dengan indikator keberhasilan yaitu peningkatan berat badan pada balita. Kemudian ditemukan hasil yaitu masih ada balita dengan masalah gizi yang belum mendapatkan makanan tambahan berupa proten, masih ada PMT yang tidak dihabiskan oleh balita selama satu bulan pemberian makanan tambahan, dan ditemukan terdapat PMT yang dikonsumsi tidak hanya oleh balita tapi juga anggota keluarga lainnya. Terdapat peningkatan pengetahuan pada orang tua balita setelah penyuluhan. Ada peningkatan status gizi balita berdasarkan BB/U yaitu dari status kurang (underweight) menjadi normal sebelum dan sesudah pemberian PMT.
PREDIKTOR KETIDAKHADIRAN IBU PADA KUNJUNGAN NIFAS SELAMA PANDEMI COVID-19 Evi Susanti Sinaga; Luthfi Aziz; Pierre Christoper H; Zulfa Febri Sofyani; Kartika Putri Pertiwi; Rina K. Kusumaratna
JURNAL PENELITIAN DAN KARYA ILMIAH LEMBAGA PENELITIAN UNIVERSITAS TRISAKTI Vol. 8 No. 2 (2023)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/pdk.v8i2.15228

Abstract

Kematian ibu merupakan ukuran yang digunakan salah satunya dalam menilai tingkat kesehatan dan keberhasilan pembangunan kesehatan. Kematian ibu, berdasarkan Organisasi Kesehatan Dunia, merupakan kematian yang terjadi selama masa kehamilan, persalinan, dan nifas disebabkan karena kehamilan, persalinan, dan nifas ataupun pengelolaannya tetapi bukan disebabkan hal lain seperti kecelakaan. Salah satu upaya pencegahan kematian ibu adalah melalui pelayanan masa nifas. Cakupan kunjungan nifas di Kelurahan Bukit Duri belum mencapai target (80,26%) selama pandemi Covid-19. Penelitian ini bertujuan menganalisis faktor yang berhubungan dengan kepatuhan kunjungan ibu nifas di Puskesmas Bukit Duri pada saat pandemi Covid-19. Desain penelitian ini menggunakan desain cross sectional. Teknik pengambilan sampel menggunakan total population sampling yaitu seluruh ibu nifas di kelurahan Bukit Duri yang tercatat pada bulan November 2021 menjadi sampel yaitu sebanyak 49 orang.  Analisis data dilakukan secara bivariat dengan menggunakan uji statistik chi square. Faktor-faktor yang berhubungan dengan kepatuhan kunjungan nifas adalah dukungan keluarga (p-value= 0,000), kepercayaan terhadap mitos (p-value= 0,003), dan pandemi Covid-19 (p-value= 0,006).  Sedangkan tingkat pendidikan, usia, status ibu bekerja, dan jumlah paritas tidak berhubungan secara statistik dengan kepatuhan kunjungan nifas (p-value > 0,05).
Analysis of Risk Factors for Acute Respiratory Infection in Terms of The Physical Environment in Jatimulya Village Laviany Putri Shihran; Evi Susanti Sinaga
Journal of Health Sciences and Epidemiology Vol. 1 No. 1 (2023): April 2023
Publisher : RRZ Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62404/jhse.v1i1.8

Abstract

Acute respiratory infection (ARI) is currently a global primary health problem. WHO 2016 data shows that the incidence of ARI and the under-5 mortality rate are estimated at >40/1000 live births, or 15%-20% per year in the under-five group. ARI is an inflammatory reaction in the upper or lower respiratory tract. The risk of ARI occurring depends on three factors: the individual, behaviour, and environmental conditions. Environmental factors include lighting, humidity, area of ventilation or windows, types of walls, floors, roofs, and the distance from the house to the main road. Environmental factors, especially the house’s physical condition, are closely related to the magnitude of the community's risk of ARI. This study used a cross-sectional design. It was carried out in October 2022 and involved 148 mothers with toddlers in Jatimulya Village, Bekasi Regency. The instruments used were a rolling meter, a hygrometer, and a questionnaire with univariate and bivariate analysis. A chi-square test was used to determine whether there was a relationship. From the analysis results, it was found that the window width (p = 0.000) and humidity (p = 0.000) were related to the incidence of ARI, and the results were not related to the type of house wall (p = 0.069), the type of floor of the house (p = 0.196), and the distance between the house and the main road (p = 0.144) with the incidence of ARI. There is a significant relationship between window width and humidity and the incidence of ARI in toddlers, but there is no significant relationship between the type of wall, the type of floor, or the distance from the house to the main road.
Faktor-Faktor Yang Memengaruhi Kepatuhan Pengobatan Pada Pasien TB Ryansyah, Irgie Catur; Martilova, Sonia; Putri, Kartika; Sinaga, Evi Susanti
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 3 No. 3 (2023): Februari
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/comphijournal.v3i3.122

Abstract

An infectious disease known as tuberculosis (TB) is one of the world's top causes of mortality and a significant contributor to health issues. Until recently, TB—rather than HIV/AIDS—was the most common infectious disease to cause death. Mycobacterium tuberculosis, the bacillus that causes tuberculosis, is released into the air when a person with the disease coughs or removes the bacteria. Without treatment, TB disease has a significant mortality rate (about 50%). Approximately 85% of patients can be treated with the current treatment guidelines (OAT medications for 4-6 months). This study examined the variables affecting TB patients' treatment adherence. A cross-sectional research design and the Fisher Exact test were utilized in this study. This study employed a consecutive, non-random sampling technique. Forty-four people made up the survey's sample size. Based on the analysis's findings, it was discovered that knowledge, side effects, the involvement of the family/PMO, distance, and perceptions of self-medication significantly influenced treatment adherence. There is no relationship between the function of TB officers and accessibility to transportation to treatment adherence.    
Benford’s law analysis to evaluate the quality data of COVID-19 epidemiological surveillance in Indonesia Sinaga, Evi Susanti; Sudharma, Novia Indriani
International Journal of Public Health Science (IJPHS) Vol 13, No 1: March 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i1.23437

Abstract

Countries worldwide, including Indonesia, grappled with the unprecedented challenges brought about by the coronavirus disease (COVID-19) pandemic. Surveillance data vividly illustrates the profound effect of the COVID-19 pandemic in Indonesia. Both daily cases and deaths were raised, revealing the rapid transmission of the virus within communities. A quantitative study using a statistical approach was accomplished with secondary data to evaluate the quality of COVID-19 epidemiological surveillance data in Indonesia during the period between March 2020 to January 2021. The data was sourced from the World Health Organization (WHO) website using data reports on COVID-19 confirmed cases and deaths. A rapid tool called the first digit law or the fulfillment of Benford’s law was used to suggest good data quality for epidemiological surveillance. Data analysis used the Chi-squared test and the log-likelihood ratio test. Also, it displayed the difference in mean absolute deviation (MAD) to identify the proximity of the data and Benford’s law distribution. The results showed that both confirmed, and death case distributions were statistically non-conformity with Benford’s law distribution. In terms of quality data regarding the COVID-19 pandemic, the epidemiological surveillance system falls short of Benford’s law assumption. Benford's law has been acknowledged as an initial analysis that can expeditiously assess the performance of a surveillance system. The next phase of this study would be to conduct a complete evaluation suitably, especially in post-pandemic COVID-19.